Business Analyst - Expert Bill Review

Position OverviewThe Business Analyst, Expert Bill Review is responsible for enabling high quality business analytics solutions in an Agile context that deliver valued business outcomes and informed decisions for Zelis’ key stakeholders in the Expert Bill Review department. The Business Analyst works as part of the Product team to facilitate clear and open communication between Business Owners, Scrum/Development, Quality Assurance, and the Product Owner. This role provides a major contribution to enhancing Zelis’ overall capacity to meet the information technology needs of an ever-changing healthcare market.Key ResponsibilitiesAct as a Subject Matter Expert for teams, including Product Management, Development, Account Management, Solution Advisors, and Operations.Gather requirements/acceptance criteria for Expert Bill Review initiatives centered around handling of medical claims for accurate claim payment review through our suite of solutions.Provide documentation for system/process updates and existing system functionality for reference by operations.Work closely with Product Management, Development, QA, and UAT to ensure requirements are realized properly upon release to production.Assist in providing training to operations on newly released items.Recommend process, workflow, and efficiency improvements while keeping the team informed on upcoming product development improvements and new product solutions being taken to market.Draft and send release notes and organize user requirements by scheduling meetings with appropriate stakeholders to track and manage accordingly.Skills, Knowledge And AbilitiesBasic or advanced understanding of payment integrity; itemized bill/clinical preferred.Understanding of medical coding and medical claims.Ability to see the big picture and learn new processes, technologies, and envision how they could benefit Zelis.Ability to partner with one or more Product Owners on key initiatives and prioritization efforts.Project Management experience; ability to drive output from others without direct supervisory responsibility.Excellent problem solving and analytical skills.Ability to prioritize and manage multiple concurrent projects.

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